TRIAD SURGERY CENTER LLC
Surgery Yellow Pages
Muskogee, Oklahoma
Provider NPI: 1043216617
Organization Information:Organization Name: TRIAD SURGERY CENTER LLC
Practice Location:
3131 MILITARY BLVD MUSKOGEE, OK 74401 US
Tel: 918-687-6600 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
3131 MILITARY BLVD MUSKOGEE, OK 74401 US
Tel: 918-687-6600 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical | ||
Y | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center | OK | 0061 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
RAILROAD MEDICARE | CO5028 | OK | 01 |
MEDICARE ID | 490004258 | OK | 01 |
100738620C | OK | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin